Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $505.37 / $1,254.70	Facility		$0.99	$505.37	$1,254.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.54 / $429.49 / $1,056.31	Professional		$198.54	$429.49	$1,056.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $217.60 / $221.26 / $365.08	Professional		$217.60	$221.26	$365.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.00 / $667.46 / $1,121.33	Facility		$508.00	$667.46	$1,121.33
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $270.52 / $270.52 / $270.52	Facility	52	$270.52	$270.52	$270.52
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $67.63 / $67.63 / $67.63	Facility	53	$67.63	$67.63	$67.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.33 / $399.87 / $797.97	Professional		$205.33	$399.87	$797.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $339.44 / $536.83 / $791.61	Professional		$339.44	$536.83	$791.61
United Facility/Professional Facility Modifier Low / Median / High Price $407.42 / $478.00 / $1,316.00	Facility		$407.42	$478.00	$1,316.00
United Facility/Professional Professional Modifier Low / Median / High Price $372.50 / $509.28 / $849.58	Professional		$372.50	$509.28	$849.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $347.21 / $520.47 / $642.63	Professional		$347.21	$520.47	$642.63